1. Home
  2. Directory
  3. New York
  4. Hammondsport
  5. Dentist
  6. NPI Profile

DR. SAM PENNISE D.M.D.
NPI 1104031335
Dentist - General Practice in Hammondsport, NY

Active since May 11, 2007PECOS Enrolled
28 MECHANIC ST, BOX 386, HAMMONDSPORT, NY 14840(607) 569-2242(607) 569-2278 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sam Pennise D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM PENNISE D.M.D. (NPI 1104031335) is an individual general practice provider in Hammondsport, New York, licensed in New York (033360) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104031335
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAM PENNISECredential: D.M.D.
Location Address28 MECHANIC ST, BOX 386Hammondsport, NY 14840
Mailing Address28 Mechanic Street, Box 386Hammondsport, NY 14840-0386 · (607) 569-2242 · Fax (607) 569-2278
Phone(607) 569-2242
Fax(607) 569-2278
Sole ProprietorYes
Enumeration DateMay 11, 2007
Last NPPES UpdateApril 28, 2009
✔ NPI 1104031335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 033360
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
28 MECHANIC ST, Hammondsport, NY 14840
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sam Pennise D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Pennise's NPI number?

The NPI number for Sam Pennise is 1104031335. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Sam Pennise located?

Sam Pennise practices at 28 Mechanic St Box 386, Hammondsport, NY 14840. The listed phone number is (607) 569-2242.

What is Sam Pennise's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Sam Pennise enrolled in Medicare?

Yes. Sam Pennise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sam Pennise was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.